Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09098 | Date 26/12/2020 |
| Token No | SM/20-21/28781 26/12/2020 | Serial | 017 Last Visit: 26/12/2020 |
| Patient Name | Miss PRIYANKA DATTA | Contact No | 8017088135 |
| Address | 79 (39/I) CHATRA MANIK GHOSH BAGAN , BAIDYABATI (M) | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||